The Gambino's had the medicare and health insurance fraud going through a 25 year insurance guy in Missouri that had no mob connections, but was greedy.
The Missouri connection actually involved the Gambinos multi- million internet and phone billing scams. In the late 1990's the Gambinos also reportedly took in millions from pre-paid phone card scams. It was the Genovese family that ran health care scams in New Jersey back in the mid 1990's, as well as in the early part of the next decade in Brooklyn with the Russians. The Luccheses were involved in mortgage fraud as well as the old gas tax scam with the Russians in the early 2000's. The Genovese were busted for running a high-tech scam involving cloned credit cards in 2003. The Bonannos used computer hackers to obtain account numbers issued by Mexican banks by which the siphoned off millions of dollars. The Gambinos ran a multimillion dollar mortgage scam of their own in 2006. And all five New York families have ran several scams involving stocks and securities fraud that have come into the hundreds of millions in the last decade alone.
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The other organized groups have filled the gaps. I know the Middle Europeans (Albanians and Serbians) are big in the health care fraud stuff.
The Russians and other Eastern European OC groups - like the Armenians as we saw recently - are big into various forms of fraud, including health care fraud. Along with Bulgarians, Armenians, and Russians, Albanians were among those busted for running a multimillion dollar identity theft and credit card fraud ring in Vegas back in 2008. But Albanians are more well known for drug trafficking, ATM robberies, extortion, etc.
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